ARFID 101: Subtypes, Symptoms, and Effective Treatment
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- เผยแพร่เมื่อ 4 ส.ค. 2021
- Join Dr. Ravin during the F.E.A.S.T. August 2021 webinar for an informative introduction on Avoidant-Restrictive Food Intake Disorder (ARFID). Dr. Ravin presents an overview of the symptoms associated with each of the three subtypes of ARFID: Avoidant, Aversive, and Restrictive. She also discusses how Cognitive-Behavioral Therapy (CBD) and Family-Based Treatment (FBT) can be used, separately or together, to treat this disorder most effectively.
Dr. Sarah Ravin brings a fresh perspective to her clinical work which is grounded in the latest scientific research on the etiology and treatment of mental disorders. Since 2009, she has been in solo private practice in Coral Gables, FL, where she provides assessment and treatment for children, adolescents, and young adults with eating disorders, anxiety disorders, mood disorders, body dysmorphia, and related issues. A firm believer in true collaboration between parents and treatment providers, Dr. Ravin also provides consultations to parents who are supporting their loved one’s recovery. Dr. Ravin specializes in Family-Based Treatment (FBT) and other family-centered interventions for eating disorders as well as Cognitive-Behavioral Therapy (CBT) for eating disorders, body dysmorphia, anxiety, and depression. Channeling her natural energy, passion, dedication, perseverance, and optimism into her work, Dr. Ravin is committed to nurturing close relationships with patients and their families and creating individualized, evidence-based treatment plans to help each patient achieve and maintain full recovery. A professional advisor for FEAST and an active member of the Academy for Eating Disorders (AED) and the Association for Behavioral and Cognitive Therapies.
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I am a 21-year old male who suffers from ARFID after a traumatic experience with cancer when I was 4 years old. When I was in the hospital, all I wanted was chicken nuggets and that became my comfort food. To this day, I have eaten chicken nuggets/tenders and french fries/tater tots every day of my life for the past 17 years. This lecture has really helped me understand the disorder and motivates me to change. Sarah is spot on with what people with ARFID think and feel in social enviornments and in isolated enviornments. I would love to have a conversation with her about my experiences to help me in my journey to change!
I hope you’ve been able to get the therapy you needed and have been successful in your journey.
A 4y old cannot choose food. Someone has been supplying you with nuggets all those 17 years, I guess it was the mother? It is hear disorder, she is the one who should have been treated 17 years ago! ARFID in kids is treated easily in 3 weeks and forever.
Adults have or develop this too not just kids.
Yes, that is correct. ARFID most commonly develops in children, but it can develop in adolescents or adults as well.
@@sarahk.ravinph.d.3305 I developed it as a child, but never went away.
@@sarahk.ravinph.d.3305 I'm 53 and struggling with it for the first time now, in response to trauma and stress.
As a Mother of 2 on the Autism spectrum, I can say if the ROOT is ASD, ARFID, anxiety, OCD are secondary or even tertiary. To medicate secondary or tertiary symptoms without strong support, for the root seems to only propel vicious cycles. One can say a child struggles with anxiety when the invisible disability doesn’t allow them to even feel the effects of gravity. And yet it is invisible because they are so high functioning and intelligent and humorous, my daughter has had seizures inability to integrate sensory overloading stimuli. It’s neurology =In the hard drive. If lights are brighter and sounds, or louder, certainly oral tastes and textures can be experienced and filtered. This video is very helpful. Yeah, I hope professionals don’t just focus on the ripple effects of the root cause.
Your comment ignores the fact that ARFID is its own disorder and not always co-morbid with ASD
I feel SO seen! When I was younger, I had the same experience as the first little girl she talked about. I choked on a jolly rancher and stopped eating solid food. I saw a therapist and got back to eating, but I’ve been picky my whole life. My family has been understanding, but my partner and his family were not. My boyfriend has finally KIND OF started to understand, but not exactly. I’m just now realizing I have this disorder, and I’m finally starting to seek treatment. Thanks so much for this 💖💕
My ARFID began when I was in my mid-fifties, after a brief illness. This was also abut a year after my Chemotherapy for cancer. My ARFID switches on and off like a switch. One day I'm loving my sandwiches but the next I gag at the smell of bread. This is frustrating to be sure. The Doctor was very clear and answered most of my questions.
I was left with Undiagnosed ARFID for 17 years and just got diagnosed recently, thank you for posting this so my family and I can have better insight on what treatments to look for!
I’m 68 years old and a couple of months ago I developed an aversion to food. It started slowly with just not eating all of my food. I will put the rest in the fridge to go back and eat later but never would and then threw it away. Now I’m down to 112 pounds and I’m not interested in food at all. No food. I know this is really focused on children but this is happening to adults. I’m not able to get help anywhere! I cannot keep losing weight!
I'm wondering if I somewhat fall into this catergory as well. My dad passed away in 2020 from a massive heart attack, which I was directly involved with. He, and other members of my family, have history of heart issues (high BP, high cholesterol, etc), and so I decided to get tested. I got the wake up call when my cholesterol hit 350. I was terrified of having at heart attack, and so I started cutting out-or drastically reducing the amount cholesterol I was consuming. Even though I now have my cholesterol at a very healthy level (through the help of medication), I still get these fear of developing the high cholesterol, and it's really messed with my relationship with food. I'm working with an intuitive eating/HAES based dietician to help with this. This includes having a "diagnoses" (for insurance reasons), of having an eating disorder, but not otherweise specified.
I hope your doing well ARFID as well as other eating disorders have NO REAL TREATMENT, you can get treatment plans but really it is a mental obstacle you have to overcome yourself, especially arfid and as an adult sometimes you do just have to slowly force yourself to scarf food down, even if it’s just a small meal you have to have many small meals throughout the day
God bless you for sharing this! We never understood why our daughter was so small! now we know... this was not a choice and since there's a year waiting list for the local children's center for treatment, I feel we can at least begin to try and help her!
Wow. This is such a valuable resouce. Thank you for sharing this.
Well you can also be overweight because i have a small select amount of safe foods that are only junk food and had no food with any sort of nutritional value from all of my years through elementary to highschool and gained weight at highest 300 pounds and i had a terrible vomiting reaction to any new foods and then resisted all bribery and anything i have every symptom but the commonly spread false symptom that you must be underweight when you can also be overweight
You are absolutely right! Thank you for pointing this out. People can suffer from ARFID across the weight spectrum. In some cases, ARFID results in weight loss and an underweight state, but many people with ARFID are in average sized bodies or larger bodies. If I were to do this talk again, I would make this point clear. I don't want people to resist getting help, or professionals to dismiss potentially severe cases of ARFID or other Eating Disorders, because the patient is in a larger body.
You are not the only one, I went through the same thing you went through. I would only be able to eat junk food, I would gag and throw up for any food that had nutritional value. I don’t really have it as much anymore because I’m trying new foods like ribs, corn, apples, and I’m also eating less. I’m gaining more muscle than fat now that I’m exercising.
100% this! I grew up both overweight and malnourished because I only liked bread, cakes, cookies, pizza, fries, nuggets, and cereal.
Never knew I had an eating disorder basically my whole life. I now know I had aversive AFRID that later changed to other eating disorders?? I don’t know if there is a name for it or if it’s even an eating disorder, but I struggle sometimes with swallowing. I don’t know why or what triggers it, but it makes eating a chore and unenjoyable. I sometimes avoid social situations centered around eating and when I can’t, I will get extreme anxiety.
Love this video thank you!
thanks for sharing! very interesting and concise
We just found out that my eleven year old grandson has this. He is an anxious child, has panic attacks. Is extremely thin and has limited stamina. I had never heard of it before and am very glad there is now an awareness. He now is having therapy specifically for ARFID as well as therapy for anxiety. As a toddler he ate a much more normal diet. I don't know of a traumatic incident related to food when this started. I think it was more gradual, though his parents separated when he was about six. He was always a child who didn't want to cuddle with anyone except his parents and sisters. Even now he doesn't often want a hug from me, even though we are close in other ways.
I'm struggling with arfid. Underweight, celiac and few allergies but only have Medicare so super hard to find help. I'm trying to get help from therapists.
You can do it! The hardest part is the barrier to new foods. It’s financially beneficial to prepare them yourself but with a history of a limited pallet its not like cooking is a very developed skill, or even being able to find something new that isn’t too intimidating in the first place. The fear of food waste is another one, especially when eating out as it’s much more costly, so home prepared just makes more sense. There are online support groups comprised of people going through it that share their safe foods with each other and suggest ones that may help expand your comfort zone. I’ve had it since I was a child and at 31 I’m tired of it and am hoping medicating my general anxiety with mild medications will help. You got this.
Excellent!!👏👏👏👏👏
I'd like to see a study on indica strains of medical marijuana and arfid as it can increase your appetite and help reduce anxiety.
same
This has been well documented and marijuana used chronically can actually be an appetite suppressant. You can find many studies on it.
The average age of diagnosis would have been great for me in the ‘80s.
ARFID wasn't recognized until 2013 believe it or not.
Thanks alot it helps
I don’t know if you’ll see this or not, but can a mental health therapist work with this successfully or is it only a doctoral level?
Am I able to have anorexia and ARFID at the same time? Cause I have symptoms of ARFID, but also the fear of weight gain and body dysmorphia that comes with anorexia. Maybe I just have anorexia
Many people have symptoms of multiple eating disorders at once. It is also common for people to vacillate between different eating disorder diagnoses. If you have a fear of weight gain and body dysmorphia, then these symptoms actually "rule out" a diagnosis of ARFID, so the correct diagnosis would most likely be Anorexia Nervosa. I would strongly encourage you to consult with a physician, psychologist, or other healthcare provider who specializes in eating disorders for an assessment, diagnosis, and treatment.
What if you try new foods and just dislike many of them?
Omg, with all respect, can you get it together before you start? Or edit out the unpreparedness? So unprofessional.